Claims Advocate Team Lead - Pollution and Liability

L5

alliantEastern, KY3 days ago
SUMMARY: Responsible for providing adequate coverage/policy interpretation on medium to large complex claims. Substantial direct client contact involved.
ESSENTIAL DUTIES AND RESPONSIBILITIES: Manages claims status and prompts various parties, broker, staff, client and adjuster to take next step; including prepayment, partial payment, gather information, work with subrogation contacts. Partners with client legal counsel on coverage, claims and strategy for settlement; Manages primarily medium to large, complex claims; Manages and oversees claims data in database including claims updates, running claims runs, analyzing claims information and preparing information for underwriting and/or client review; Prepares coverage arguments for client advocacy and form coverage positions as client advocate; Provides adequate coverage/policy interpretation for large property and casualty claims; Prepares and analyzes loss valuations; Attends claims meetings with clients, carriers, legal counsel and adjusters to review claim status, resolve and settle issues; Provides follow-up calls, written correspondence and keep records of all work done on behalf of our clients; Partners with client on case preparation and support as needed; Uses negotiation skills to provide best possible outcome for clients as needed; Builds and establishes strong relationships with carriers, adjusters and clients; Develops training materials with a client and service team perspective for coverage reviews, loss reporting procedures, claims guidelines in handling various situations; Delivers claims training in person and in client workspace as needed; Manages claims staff, including motivating/mentoring staff, providing employee training and development, conducting performance reviews and performing disciplinary action as appropriate; Complies with agency management system data standards and data integrity (enters and maintains complete and accurate information); Other duties as assigned. QUALIFICATIONSEDUCATION/EXPERIENCEBachelor's Degree or equivalent combination of education and experience Ten (10) or more years related work experience, brokerage or carrier experience In depth knowledge of all commonly encountered P&C insurance coverage and Risk Managementconcepts and techniques Chartered Property Casualty Underwriter (CPCU) Associate in Claims-American Institute for Chartered Property and Casualty Underwriters (AICPU) Accredited Accounts Receivable Manager (ARM) Valid Fire and Casualty Broker – Agent licenseSKILLSExcellent verbal and written communication skillsExcellent leadership, problem solving and time management skills Advanced analytical skillsExcellent planning, organizational and prioritization skills Ability to interface with executives – internal and external Proficient in Microsoft Office products
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Level

SeniorL5

Location

Eastern, KY

Occupation

Insurance Claims and Policy Processing Clerks

Industry

Claims Adjusting

Posted

3 days ago

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